A Turn-Key Transition Plan Solution for Your Organization
The team of skilled nurses at Sun Health Care Transitions can quickly coordinate and implement the transition plan program, based on the needs of each patient by closely working together with health partners to augment an existing care management program.
The program, which usually lasts approximately 30 days following a hospital discharge, can be tailored to meet the customized transition plan needs of each patient. This includes modifying certain aspects of the program such as the number of visits and/or phone calls, along with the opportunity for a longer intervention which could continue up to 90 days. If the need arises, nurses can also coordinate and schedule visits from a physician or nurse practitioner into the home within the parameters of the program.
Sun Health Care Transitions staff can provide patient documentation to partners/providers for continuity of care or can document within partners’ electronic medical record if preferred.